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Patient Safety/Advocacy



Effecting Positive Change in Patient Safety/Advocacy
Share Success Stories of Effecting Positive Change in Patient Safety/Advocacy

Report Near MissesReport Near Misses

Please use the following form to tell ANA more about your involvement in the Saving 100,000 Lives Campaign.


Identify: define the patient safety issue(s) that your hospital addressed through the campaign.

Implementation: list the barriers, resources, innovations, changes and communication methods your hospital adopted.

Assessment: describe the patient safety results in terms of improvement and impact.

Recommendation: describe how your hospital plans to maintain and sustain the effects from its involvement in the campaign.

Nursing’s role in the campaign:

May we contact you? Yes No

Contact information:

Your name:

E-mail address:
Your e-mail address will not be shared, sold, traded, exchanged or rented.

Phone (optional)
Best time to call: Day Evening

Hospital:


(May take a few moments to process)

 

 

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